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Endoscopic Stents for Palliation in Patients with Pancreatic Cancer

  • Richard C. K. Wong
  • David L. Carr-Locke

Abstract

Pancreatic carcinoma is a common, biologically aggressive malignancy that has a very poor prognosis. Management requires a multidisciplinary approach, with input from the subspecialties of surgery, gastrointestinal endoscopy, oncology, radiology, and radiation oncology. The only potentially curative form of treatment is surgical resection, although most patients present late in the course, with unresectable disease. Approximately 20% of patients presenting with malignant obstructive jaundice undergo some form of surgery (either resection or palliative bypass). The remaining 80% are managed nonsurgically. For this group of patients, who either have unresectable disease, refuse surgery, or are medically unfit for surgery, endoscopic palliation of symptoms should be strongly considered. Indeed, over the last decade, endoscopic palliation of malignant biliary obstruction has become an acceptable, and preferred, alternative to surgical bilioenteric bypass; this is achieved by the endoscopic placement of either plastic or metallic endoprostheses (stents).

Keywords

Biliary Obstruction Metallic Stents Gastric Outlet Obstruction Plastic Stents Stent Occlusion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Richard C. K. Wong
  • David L. Carr-Locke

There are no affiliations available

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